Assessment of demographic, clinical and histopathological features of patients who underwent appendectomy due to a presumed diagnosis of acute appendicitis

CONCLUSION: This study suggests that a relationship exists between demographic features, histopathological findings of appendectomy specimens, seasons, days of the week, and working days in patients undergoing appendectomy.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:BACKGROUND: To compare the clinical, biochemical, and histopathological features of patients who underwent appendectomy due to a presumed diagnosis of acute appendicitis (AAp).

📊

Key Findings & Data:METHODS: The demographic, biochemical and histopathological data of 8206 patients who underwent appendectomy for AAp between January 2006 and March 2014 were retrospectively analyzed in this study.

💡

Conclusion & Impact:CONCLUSION: This study suggests that a relationship exists between demographic features, histopathological findings of appendectomy specimens, seasons, days of the week, and working days in patients undergoing appendectomy.

🔬Design:Research Article

📍Scope:2006 Verileri

⚙️Variables:Domain Parameters

Özet

BACKGROUND: To compare the clinical, biochemical, and histopathological features of patients who underwent appendectomy due to a presumed diagnosis of acute appendicitis (AAp). METHODS: The demographic, biochemical and histopathological data of 8206 patients who underwent appendectomy for AAp between January 2006 and March 2014 were retrospectively analyzed in this study. Patients were compared regarding the following characteristics: disruption by season (autumn vs. winter vs. spring vs. summer), working days (weekdays vs. weekends), histopathological findings (AAp vs. normal appendix [NAp]) and histopathological subgroup (non-perforated AAp vs. perforated AAp vs. NAp). RESULTS: Of the 8206 patients aged between 16 and 89 years, 4763 (58.0%) were male. Appendectomy distribution by season was as follows: autumn (n=1959; 23.9%), winter (n=2062; 25.1%), spring (n=2061; 25.1%) and summer (n=2124, 25.9%). NAp rates were higher in summer than those in other seasons. White blood cell (WBC) and neutrophil levels were significantly higher in autumn and winter compared with those in other seasons. In total, 6120 (74.6%) appendectomies occurred on weekdays and 2086 (25.4%) on weekends. WBC and neutrophil levels were significantly higher on weekends than those on weekdays. Appendectomy distribution by histopathological groups as follows: AAp (n=7414; 90.3%) and NAp (n=792; 9.7%). Appendectomy distribution by histopathological subgroups was as follows: non-perforated AAp (n=6966; 84.9%), perforated AAp (n=448; 5.5%), and NAp (n=792; 9.7%). WBC, neutrophil, and TBil levels in the non-perforated and perforated AAp groups were significantly higher than in the NAp group. While most of the patients with perforated AAp (62.1%) and non-perforated AAp (59.6%) were males, most of the patients with NAp (58.1%) were females. CONCLUSION: This study suggests that a relationship exists between demographic features, histopathological findings of appendectomy specimens, seasons, days of the week, and working days in patients undergoing appendectomy.

🔖

Cite This Article

AKBULUT, A. S., BAHÇE, Z. Ş., ÖZTAŞ, T., GÜMÜŞ, S., SÖĞÜTÇÜ, N., SAKARYA, H., KAAN, A., YAĞMUR, Y. (2021). Assessment of demographic, clinical and histopathological features of patients who underwent appendectomy due to a presumed diagnosis of acute appendicitis. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 27 - Sayı: 3, 315–324. https://ajindex.com/articles/398791

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (15)

Sandstrom A, Grieve DA. Hyperbilirubinaemia: Its utility in non-perforated appendicitis. ANZ J Surg 2017;87:587–90
Eren T, Tombalak E, Ozemir IA, Leblebici M, Ziyade S, Ekinci O, et al. Hyperbilirubinemia as a predictive factor in acute appendicitis. Eur J Trauma Emerg Surg 2016;42:471–6
Fares A. Summer appendicitis. Ann Med Health Sci Res 2014;4:18–21 4. Oguntola AS, Adeoti ML, Oyemolade TA. Appendicitis: Trends in incidence, age, sex, and seasonal variations in South-Western Nigeria. Ann Afr Med 2010;9:213–7
Kaplan GG, Dixon E, Panaccione R, Fong A, Chen L, Szyszkowicz M, et al. Effect of ambient air pollution on the incidence of appendicitis. CMAJ 2009;181:591–7
Stein GY, Rath-Wolfson L, Zeidman A, Zeidman A, Atar E, Marcus O, et al. Sex differences in the epidemiology, seasonal variation, and trends in the management of patients with acute appendicitis. Langenbecks Arch Surg 2012;397:1087–92
Al-Mendalawi MD, Lattuf MA. Is there a seasonal distribution of acute appendicitis in Iraqi children? Menoufia Med J 2017;30:572–4
Abouzeid A, Saleh M, Zayed O, Awad M. Validity of serum total bilirubin as a diagnostic tool for acute appendicitis. Int J Surg Med 2017;3:216–22
Unver N, Coban G, Arıcı DS, Buyukpınarbasılı N, Gucin Z, Malya FU, et al. Unusual histopathological findings in appendectomy specimens: A retrospective analysis of 2047 cases. Int J Surg Pathol 2018;27:142–6
Uludag O, Cag S, Sabuncu U, Kusderci H, Abdullayev R. The seasonal distribution of appendicitis. Sakarya Tıp Dergisi 2016;6:120–3
Deng Y, Chang DC, Zhang Y, Webb J, Gabre-Kidan A, Abdullah F. Seasonal and day of the week variations of perforated appendicitis in US children. Pediatr Surg Int 2010;26:691–6
Reinisch A, Heil J, Woeste G, Bechstein W, Liese J. The meteorological influence on seasonal alterations in the course of acute appendicitis. J Surg Res 2017;217:137–43
Bal A, Ozkececi ZT, Turkoglu O, Ozsoy M, Celep RB, Yilmaz S, et al. Demographic characteristics and seasonal variations of acute appendicitis. Ann Ital Chir 2015;86:539–44
Lee JH, Park YS, Choi JS. The epidemiology of appendicitis and appendectomy in South Korea: National registry data. J Epidemiol 2010;20:97–105
Wei PL, Chen CS, Keller JJ, Lin HC. Monthly variation in acute appendicitis incidence: A 10-year nationwide population-based study. J Surg Res 2012;178:670–6
Biricik S, Narci H, Dundar GA, Ayrık C, Turkmenoglu MO. Mean platelet volume and the ratio o